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Individual

EUGENE CRAIG DORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
950 BRECKENRIDGE LN STE 200, LOUISVILLE, KY 40207-5929
(502) 893-6777
(502) 899-5535
Mailing address
2700 STANLEY GAULT PKWY, STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4917
(502) 489-5751

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
27775
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1051301
PASSPORT
KY
01
2623
BCBS
KY
05
64277759
KY
Enumeration date
07/31/2006
Last updated
01/11/2018
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